Name*
First
Last
Email* L. SAFETY EQUIPMENT Comments
L.1 GENERAL SAFETY EQUIPMENT Comments
L.1.1 General Personnel Protective Gear Safety hats (contractor only/everyone/not supplied)
Safety boots (contractor only/everyone/not supplied)
Safety clothing (contractor only/everyone/not supplied)
Ear protection (contractor only/everyone/not supplied)
Rubber gloves (contractor only/everyone/not supplied)
Rubber aprons (contractor only/everyone/not supplied)
Fullface visors (contractor only/everyone/not supplied)
Eye shields (for grinding machines, etc.)
(Contractor only/everyone/not supplied)
Dust masks (contractor only/everyone/ not supplied)
Rubber gloves - elbow length for chemical handling
(Contractor only/everyone/not supplied)
Explosion proof handtorches c/w batteries
(Contractor only/everyone/not supplied)
Safety belts c/w lines (contractor only/everyone/not supplied)
L.1.2 Eye Wash Stations IMPERIAL: lt | METRIC: mt
Comments
Quantity IMPERIAL: no. | METRIC: no.
Make/model
Located at
L.1.3 Derrick Safety Equipment Comments
Derrick escape chute (rem chute) IMPERIAL: no. | METRIC: no.
Make/Type
Derrick safety belts IMPERIAL: no. | METRIC: no.
Make/Type
L.1.4 Derrick Climbing Assistant or Derrick Elevator Comments
Make/Type
L.1.5 Fresh Air Blowers (Bug Blowers) Comments
Quantity IMPERIAL: no. | METRIC: no.
Make/Type
Located at
L.2 GAS/FIRE/SMOKE DETECTION Comments
L.2.1 H2S Monitoring System Comments
Make/Type
Sampling points at
Bellnipple IMPERIAL: yes/no | METRIC: yes/no
Drillfloor IMPERIAL: yes/no | METRIC: yes/no
Shale shaker IMPERIAL: yes/no | METRIC: yes/no
Mud tanks IMPERIAL: yes/no | METRIC: yes/no
Ventilation system into living quarters IMPERIAL: yes/no | METRIC: yes/no
Other
General alarm IMPERIAL: yes/no | METRIC: yes/no
Alarm types (audible, visual, both) at
Driller's console IMPERIAL: yes/no | METRIC: yes/no
Engine room IMPERIAL: yes/no | METRIC: yes/no
Mud room IMPERIAL: yes/no | METRIC: yes/no
Living quarters each level IMPERIAL: yes/no | METRIC: yes/no
Central area each structural level IMPERIAL: yes/no | METRIC: yes/no
Other
Central alarm panel IMPERIAL: yes/no | METRIC: yes/no
Located at
L.2.2 Combustible Gas Monitoring System Comments
Make/Type
Sampling points at
Bellnipple IMPERIAL: yes/no | METRIC: yes/no
Drillfloor IMPERIAL: yes/no | METRIC: yes/no
Shale shaker IMPERIAL: yes/no | METRIC: yes/no
Mud tanks IMPERIAL: yes/no | METRIC: yes/no
Ventilation system into living quarters IMPERIAL: yes/no | METRIC: yes/no
Other
General alarm IMPERIAL: yes/no | METRIC: yes/no
Alarm types (audible, visual, both) at
Driller's console IMPERIAL: yes/no | METRIC: yes/no
Other
L.2.3 H2S Detectors (Portable) Quantity IMPERIAL: no | METRIC: no
Make/Type
Phials for H2S: measuring range
from 1 to 20 ppm IMPERIAL: no | METRIC: no
from 100 to 600 ppm IMPERIAL: no | METRIC: no
L.2.4 CO2 Gas Detectors (Portable) Comments
Quantity IMPERIAL: no | METRIC: no
Make/Type
Phials for CO2: measuring range
from 1 to 20 ppm IMPERIAL: no | METRIC: no
from 20 to 200 ppm IMPERIAL: no | METRIC: no
L.2.5 Explosive Gas Meters Comments
Quantity IMPERIAL: no | METRIC: no
Make/Type
L.2.6 Fire/Smoke Detectors in Accommodation Comments
Make/type
Fire detection IMPERIAL: yes/no | METRIC: yes/no
Smoke detection IMPERIAL: yes/no | METRIC: yes/no
Central alarm panel IMPERIAL: yes/no | METRIC: yes/no
Location
L.3 FIRE FIGHTING EQUIPMENT Comments
L.3.1 Fire Pumps Comments
Quantity IMPERIAL: no | METRIC: no
Make/Model
Type
Output (each) IMPERIAL: gpm | METRIC: l/min
All offtake points supplied by each pump IMPERIAL: yes/no | METRIC: yes/no
Location of pumps
Fire fighting water delivery conforms to IMO MODU spec IMPERIAL: yes/no | METRIC: yes/no
IMO MODU spec version
L.3.2 Hydrants and Hoses Comments
Hydrants positioned such that any point may be reached by a single hose length from two separate hydrants IMPERIAL: yes/no | METRIC: yes/no
Quantity of Hydrants IMPERIAL: no. | METRIC: no.
Hose connections/hydrant IMPERIAL: no. | METRIC: no.
Hose max. diam. IMPERIAL: in | METRIC: mm
Length IMPERIAL: ft | METRIC: m
L.3.3 Portable Fire Extinguishers Comments
Quantity (Total) IMPERIAL: no. | METRIC: no.
Type 1 - CO2 IMPERIAL: no/lb | METRIC: no/kg
Type 2 - Dry chemical IMPERIAL: no/lb | METRIC: no/kg
Type 3 - Foam IMPERIAL: no. | METRIC: no.
Mounted adjacent to access ways and escape routes IMPERIAL: yes/no | METRIC: yes/no
L.3.4 Fire Blankets Comments
Location
Quantity IMPERIAL: no. | METRIC: no.
L.3.5 Fixed Foam System Comments
Automatically injected into fixed fire water system at central point with remote manual control IMPERIAL: yes/no | METRIC: yes/no
Make/Type
Quantity foam stored on site IMPERIAL: ft3 | METRIC: m3
Inductor tube IMPERIAL: yes/no | METRIC: yes/no
Foam nozzles IMPERIAL: no. | METRIC: no.
Located at
L.3.6 Helideck Foam System Comments
Dedicated system adequate for at least 10 minutes fire fighting at the rate quoted in the IMO MODU code IMPERIAL: yes/no | METRIC: yes/no
IMO MODU code version
Make/Type
Quantity of monitors IMPERIAL: no. | METRIC: no.
Foam type
Rate IMPERIAL: gpm | METRIC: l/min
L.3.7 Fixed Fire Extinguishing System Comments
Protected spaces
Engine room, type (Halon/CO2/Water Mist, etc.)
Paint locker, type (Halon/CO2/Water Mist, etc.)
Emergency generator, type (Halon/CO2/Water Mist, etc.)
SCR room, type (Halon/CO2/Water Mist, etc.)
Other (specify location & type)
Alarms (audible, visual or both)
Automatic shutting of mechanical ventilation in protected spaces IMPERIAL: yes/no | METRIC: yes/no
Remote manual release located at
L.3.8 Manual Water Deluge System Comments
Protected spaces
Water supplied from fire main line IMPERIAL: yes/no | METRIC: yes/no
L.3.9 Water Sprinkler System in Accommodation Comments
Automatic IMPERIAL: yes/no | METRIC: yes/no
Working pressure IMPERIAL: psi | METRIC: bar
Pressurized tank capacity IMPERIAL: ft3 | METRIC: m3
L.4 BREATHING APPARATUS Comments
L.4.1 General Sets Comments
Quantity IMPERIAL: no. | METRIC: no.
Make
Type
Bottle duration IMPERIAL: min | METRIC: min
Located at IMPERIAL: qty/loc | METRIC: qty/loc
L.4.2 Derrickman Escape Sets Comments
Quantity IMPERIAL: no. | METRIC: no.
Make/Type
Bottle duration IMPERIAL: min | METRIC: min
Located at IMPERIAL: qty/loc | METRIC: qty/loc
L.4.3 Cascade Stations Comments
Quantity IMPERIAL: no. | METRIC: no.
Make/Type
Locations/outlets at location
L.4.4 Breathing Air Recharge Compressor Comments
Quantity IMPERIAL: no. | METRIC: no.
Make/Type
Located at
L.4.5 Compressed Air Breathing Apparatus Trolley Unit Comments
Positive pressure IMPERIAL: yes/no | METRIC: yes/no
Make/Type
Air line length IMPERIAL: no | METRIC: no
Compressed air bottles IMPERIAL: ft3 | METRIC: m3
Quantity
Size
Including
Face mask IMPERIAL: yes/no | METRIC: yes/no
Demand valve IMPERIAL: yes/no | METRIC: yes/no
Microphone IMPERIAL: yes/no | METRIC: yes/no
Safety harness IMPERIAL: yes/no | METRIC: yes/no
Safety line (incorporating telephone line) IMPERIAL: yes/no | METRIC: yes/no
L.4.6 Air Purity Test Equipment Comments
Quantity IMPERIAL: no. | METRIC: no.
Make/Type
L.5 EMERGENCY FIRST AID EQUIPMENT Comments
L.5.1 First Aid Kits Comments
Quantity IMPERIAL: no. | METRIC: no.
L.5.2 Burn Kits Comments
Quantity IMPERIAL: no | METRIC: no
L.5.3 Resuscitators Comments
Quantity IMPERIAL: no. | METRIC: no.
Charged (spare) oxygen cylinders IMPERIAL: no | METRIC: no
L.5.4 Stretchers Comments
Quantity IMPERIAL: no | METRIC: no
Type
Located at
L.5.5 Defibrillators/AED's Comments
Quantity IMPERIAL: no | METRIC: no
Type
Located at
L.6 HELIDECK RESCUE EQUIPMENT Comments
L.6.1 Storage Boxes Comments
Quantity IMPERIAL: no | METRIC: no
Max height open IMPERIAL: in | METRIC: mm
L.6.2 Equipment Comments
Aircraft axe IMPERIAL: yes/no | METRIC: yes/no
Large firemans rescue axe IMPERIAL: yes/no | METRIC: yes/no
Crowbar IMPERIAL: yes/no | METRIC: yes/no
Heavy duty hacksaw IMPERIAL: yes/no | METRIC: yes/no
Spare blades IMPERIAL: yes/no | METRIC: yes/no
Grappel hook IMPERIAL: yes/no | METRIC: yes/no
Length of wire rope attached IMPERIAL: ft | METRIC: m
Quick release knife IMPERIAL: yes/no | METRIC: yes/no
Bolt croppers IMPERIAL: yes/no | METRIC: yes/no
L.7 RIG SAFETY STORE Comments
Equipment to repair, recharge and restock
Safety equipment as listed below
Foam concentrate IMPERIAL: yes/no | METRIC: yes/no
Dry chemical charges IMPERIAL: yes/no | METRIC: yes/no
CO2 charges for dry chemical extinguisherse IMPERIAL: yes/no | METRIC: yes/no
CO2 charges for water extinguishers IMPERIAL: yes/no | METRIC: yes/no
CO2 charges for foam extinguishers IMPERIAL: yes/no | METRIC: yes/no
Discharge hoses, control nozzles and horns and washers for CO2 extinguishers IMPERIAL: yes/no | METRIC: yes/no
Discharge hoses, control nozzles and horns and washers for dry chemical extinguishers IMPERIAL: yes/no | METRIC: yes/no
Fire blankets IMPERIAL: yes/no | METRIC: yes/no
Fireproof gloves IMPERIAL: yes/no | METRIC: yes/no
Rubber gloves - elbow length IMPERIAL: yes/no | METRIC: yes/no
Rubber aprons IMPERIAL: yes/no | METRIC: yes/no
Rubber boots IMPERIAL: yes/no | METRIC: yes/no
Full face visors IMPERIAL: yes/no | METRIC: yes/no
Eye shields (for grinding machines, etc.) IMPERIAL: yes/no | METRIC: yes/no
Dust masks IMPERIAL: yes/no | METRIC: yes/no
Spare safety helmets, boots, overalls IMPERIAL: yes/no | METRIC: yes/no
Gloves, hand torches, batteries, etc. IMPERIAL: yes/no | METRIC: yes/no
Spare lifebuoys IMPERIAL: yes/no | METRIC: yes/no
Spare lifebuoy lights IMPERIAL: yes/no | METRIC: yes/no
Fresh air blowers/inductors for ventilating enclosed spaces IMPERIAL: yes/no | METRIC: yes/no
Spare life jackets IMPERIAL: yes/no | METRIC: yes/no
Safety belts c/w line IMPERIAL: yes/no | METRIC: yes/no
Full safety harnesses IMPERIAL: yes/no | METRIC: yes/no
Spare derrickman's safety belts IMPERIAL: yes/no | METRIC: yes/no
Spare CABA bottles, charged IMPERIAL: yes/no | METRIC: yes/no
L.8 EMERGENCY WARNING ALARMS Comments
Approved system to give warning of different emergencies IMPERIAL: yes/no | METRIC: yes/no
L.9 SURVIVAL EQUIPMENT Comments
L.9.1 Lifeboats Comments
Make/Type
Quantity IMPERIAL: no. | METRIC: no.
Capacity IMPERIAL: person/craft | METRIC: person/cram
Locations (fore, aft, port, stbd)
Fire protection IMPERIAL: yes/no | METRIC: yes/no
Radios IMPERIAL: yes/no | METRIC: yes/no
Flares IMPERIAL: yes/no | METRIC: yes/no
Food IMPERIAL: yes/no | METRIC: yes/no
First aid kits IMPERIAL: yes/no | METRIC: yes/no
L.9.2 Liferafts Comments
Make/Type
Quantity IMPERIAL: no. | METRIC: no.
Capacity IMPERIAL: person/craft | METRIC: person/cram
Locations (fore, aft, port, stbd)
Fire protection IMPERIAL: yes/no | METRIC: yes/no
Radios IMPERIAL: yes/no | METRIC: yes/no
Flares IMPERIAL: yes/no | METRIC: yes/no
Food IMPERIAL: yes/no | METRIC: yes/no
First aid kits IMPERIAL: yes/no | METRIC: yes/no
L.9.3 Rescue Boat Comments
Make/Type
Engine power IMPERIAL: hp | METRIC: hp
L.9.4 Life Jackets Comments
Make/Type
Quantity IMPERIAL: no. | METRIC: no.
L.9.5 Life Buoys Comments
Make/Type
Quantity IMPERIAL: no. | METRIC: no.
L.9.6 Work Vests Comments
Make/Type
Quantity IMPERIAL: no. | METRIC: no.
L.9.7 Escape Ladders/Nets Comments
Make/Type
Quantity IMPERIAL: no. | METRIC: no.
L.9.8 Distress Signals Comments
Type
Quantity IMPERIAL: no | METRIC: no
Ready to Submit? The Spam Check (below) must be completed for the Submit button to appear.
Spam Check: What is 11 + 5 ?* Are you a human or a robot? Please solve 11 + 5 = X?